Individual
JENNIFER ROUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 N WAHSATCH AVE APT 2, COLORADO SPRINGS, CO 80903-2966
(740) 703-1972
Mailing address
803 N WAHSATCH AVE APT 2, COLORADO SPRINGS, CO 80903-2966
(740) 703-1972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NLC.0108959
CO
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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